目的:探讨抑郁对糖尿病患者自我管理能力的影响。方法:175例门诊糖尿病患者根据9条目患者健康问卷(patient health questionnaire-9,PHQ-9)评定结果,分为糖尿病伴抑郁组(PHQ-9≥12分,n=63)、糖尿病不伴抑郁组(PHQ-9<12分,n=112),采...目的:探讨抑郁对糖尿病患者自我管理能力的影响。方法:175例门诊糖尿病患者根据9条目患者健康问卷(patient health questionnaire-9,PHQ-9)评定结果,分为糖尿病伴抑郁组(PHQ-9≥12分,n=63)、糖尿病不伴抑郁组(PHQ-9<12分,n=112),采用自制调查表采集患者一般资料,同时进行糖尿病患者自我管理知识、态度、行为评价量表行为分量表(diabetes self-management behavior assessment sub-scale,DSBAS)的评定。结果:①糖尿病伴抑郁组患者DSBAS总分(t=-6.784,P<0.01)及运动评分(t=-5.000,P<0.01)、遵嘱服药评分(t=-2.161,P<0.05)、足部护理评分(t=-2.994,P<0.01)、血糖血压监测评分(t=-2.621,P<0.01)、并发症检查评分(t=-3.376,P<0.01)评分,均低于不伴抑郁组;糖尿病伴抑郁组自我管理依从性不良的比例,显著高于不伴抑郁组(χ~2=11.156,P<0.01);②Logistic回归分析显示,抑郁可正向预测自我管理依从性不良(β=1.582,P<0.01),而住院次数可逆向预测自我管理依从性不良(β=-0.763,P<0.01)。结论:抑郁可能是导致糖尿病患者自我管理依从性不良的一个危险因素。展开更多
Given that the global population of elderly individuals is expanding and the difficulty of recovery,hip fractures will be a huge challenge and a critical health issue for all of humanity.Although people have spent mor...Given that the global population of elderly individuals is expanding and the difficulty of recovery,hip fractures will be a huge challenge and a critical health issue for all of humanity.Although people have spent more time at home during the coronavirus disease 2019(COVID-19)pandemic,hip fractures show no sign of abating.Extensive studies have shown that patients with hip fracture and COVID-19 have a multifold increase in mortality compared to those uninfected and a more complex clinical condition.At present,no detailed research has systematically analyzed the relationship between these two conditions and proposed a comprehensive solution.This article aims to systematically review the impact of COVID-19 on hip fracture and provide practical suggestions.We found that hip fracture patients with COVID-19 have higher mortality rates and more complicated clinical outcomes.Indirectly,COVID-19 prevents hip fracture patients from receiving regular medical treatment.With regard to the problems we encounter,we provide clinical recommendations based on existing research evidence and a clinical flowchart for the management of hip fracture patients who are COVID-19 positive.Our study will help clinicians adequately prepare in advance when dealing with such patients and optimize treatment decisions.展开更多
文摘Given that the global population of elderly individuals is expanding and the difficulty of recovery,hip fractures will be a huge challenge and a critical health issue for all of humanity.Although people have spent more time at home during the coronavirus disease 2019(COVID-19)pandemic,hip fractures show no sign of abating.Extensive studies have shown that patients with hip fracture and COVID-19 have a multifold increase in mortality compared to those uninfected and a more complex clinical condition.At present,no detailed research has systematically analyzed the relationship between these two conditions and proposed a comprehensive solution.This article aims to systematically review the impact of COVID-19 on hip fracture and provide practical suggestions.We found that hip fracture patients with COVID-19 have higher mortality rates and more complicated clinical outcomes.Indirectly,COVID-19 prevents hip fracture patients from receiving regular medical treatment.With regard to the problems we encounter,we provide clinical recommendations based on existing research evidence and a clinical flowchart for the management of hip fracture patients who are COVID-19 positive.Our study will help clinicians adequately prepare in advance when dealing with such patients and optimize treatment decisions.
